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Individual

MISS BETHSABEL VALDOVINOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11001 VALLEY MALL, SUITE 300, EL MONTE, CA 91731-2620
(626) 442-0710
(626) 442-8381
Mailing address
127 N ANGELENO AVE, AZUSA, CA 91702-3518
(626) 409-1419

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ICAN892
LA COUNTY DEPARTMENT OF MENTAL HEALTH
CA
Enumeration date
09/27/2010
Last updated
09/27/2010
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